LVAD RN

First I must say as a new grad myself it is hard at times not to take things personal. It is great that you have a supportive team to work with and a great preceptor. I have noticed that when families have "lost" control of a situation they start to pick at any and everything. Sometimes it is the TV not working or the sheets not fitting the bed correctly. If you have documentation of a family meeting about comfort care and the family still does not understand, the doctors caring for the pt and a social worker should be involved. The hematoma you spoke of should be addressed with your manager or charge nurse since the family is not convinced. I did not know families could take pictures inside the hospital or healthcare setting? Again do what your preceptor is telling as long as it is the truth and everything is documented to standard, If the family is suspicious I would make sure to chart everything you do and who you spoke to about the issues they are having. This could be a potential court case. Good luck

PM me and if you are willing to relocate as you say I know of a Level 1 trauma center hiring new grads and nurses from the floors in the ED.

First I must say it is rude for them to take lunch or breaks at the same time if it is unsafe for the pts. When I am at work and I see my countryman or woman we speak in our language because we greet each other in a different way than Americans do. However, when someone else is standing there we will speak English. At our hospital we have a lot of foreign visitors and at times I may have to translate and to play devils advocate why is it ok then to speak my language but not at other times? At times I feel used by the other nurses because a translator is not always available right away so they will call me. At other times however, the same nurses are upset when we speak to the docs or other nurses in native tongue. I will be flamed but must say, we are not at work to make friends but to care for pts and their families. I tried when I first came to the US to be like the "Romans" but others did not want to include me. My solution was to find others that could identify with me (not a US bashing). I speak four languages and when I went to France 3 years ago and I saw other Americans there who spoke only English it was difficult for them. I translated for a few looking for direction but many French people I saw did not want to help them and one couple said "Learn the language this is not the USA". I feel that wherever you decide to live learn and speak the language . However, when I see my friends and want to kiss them or say a line in my language to greet them I should not be "punished" for it. I will respect you enough to speak in English when you are around but cannot promise I will do it always and this is not because I do not like you, or we are talking about you. At work we have cultural day and whenever we offer food many of the Americans will not even try the foods but we participate in American food tasting. Before anyone start off by saying why I am working here, I went to an American school and I am a US citizen and I took the test in English.

I don't know everything and if I did we would not need orientation :)

I am so sorry you are having such a hard time. I don't work hospice but what I can tell you is please do not become numb!! When you start becoming numb in a place such as hospice then maybe you should move on. I know someone 30 years old that died and it was the bond between the CNA's, nurses and docs that helped everyone get through the pain. What you must do is try to feel for the families but leave it at work. I try to do that and while it is hard, some days are easier than others. I remember the first funeral I went to for a pt and it was difficult but the family appreciated it. Numbness can lead some to become jaded.

RN2Be I think your test scores are great for Kaplan. I really don't believe you can study too soon. I know with Kaplan from my experience if you do EVERY & I mean EVERYTHING they tell you to do you will pass. Others that did not pass that I know personally did not complete all of the QBANK or Qtrainers. I did 100% of it even when there were days I did not want to. I only used Kaplan and studied everday for 1 month & I followed the outline Kaplan gives you (2 weeks before your test) I did no more than 150 questions a day. I think it depends on how you study because some swear by Kaplan others hate it..for me it was the ONLY thing that helped me. Good luck and any questions let me know

1. Pen 2. IVs (20g, extention tubes) 3. Trauma shears 4. Tegaderm 5. Vacutainer 6. Cheat book 7. Flushes 8. ETOH pads 9. Gum 10. Credit card Wow I did not realize what I really put in my pockets until now :)

Don't be too hard on yourself :) I had to straight cath a pt and missed so I had to call my former preceptor who told me I was an idiot for missing so it can happen. The funny part about it is that the pt does this herself...I just laughed at it and took it as a learning experience :) What I have learned is that no matter what a "horrible" nurse a family may think you are, the next family will make you remember why you are a nurse in the first place. So chin up

Congrats on HESI and good luck on your up coming semesters :) Remember to do what is best for you and your family. You rock!!

CONGRATS!!! I knew you would do..:)

I volunteer local as an EMT and I have been on a few trips overseas. My experiences were GREAT and it helped me see what what was important in life..things such as family rather than material things. I am going on a trip next summer to Guatemala to volunteer in a clinic so that shows I love these trips. A friend of mine just got back from Africa. Another went to Jamaica and someone else went to the Bahamas.

Thank you all soo much :) I went to work today and I started out with a positive attitude and avoided the negative people in our group and I am happy to say that I ended my shift that way. It was hard at times but I made sure to smile and say thanks :)

Thank you both so much, I really should just try and be cheerful around my patients and maybe it will transfer to the others.

I am a new grad that started in June and I love love my job as a new grad. I moved out of state to work and it has been the best thing for me. however, the group of RN's I started with a couple are so negative that it is making me miserable and I cannot understand why they are jaded after only a month of nursing? I know I cannot change others so what I really want to know is how do you avoid coworkers that are negative WITHOUT being called snobbish, not a team player or friendly? I am not at work to make friends but it would be nice if my coworkers could be a little more happy about finding a job in the great state of PA on a very busy unit. I am happy to have found a job that I love and very thankful because the hospital could have decided not to hire the 10 of us that they did. I will be with these people on the same schedule for the next 6 months and I have worked in healthcare for the last 4 years and I am still not jaded even on the worst days ever. All of us passed the NCLEX in my group so the stress of the NCLEX is not "on" us and why get into nursing if you are going to complain about the patient and other coworkers only after 1 MONTH. Thanks for letting me vent, I love my job, I love being a RN ,the some patients maybe drug seekers but pain is subjective and after a month how can you be an expert?

I received it 1 week after, however, I had to call them twice in one day to make sure they received it. One person would say they could not help me but then if you called a few minutes later they would tell you an update. I would try ...good luck